Provider Demographics
NPI:1548544174
Name:SCHLOSSMAN, VICTORIA (RPH)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:SCHLOSSMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 LOS FELIZ BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1502
Mailing Address - Country:US
Mailing Address - Phone:323-644-5217
Mailing Address - Fax:323-644-5226
Practice Address - Street 1:1051 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1421
Practice Address - Country:US
Practice Address - Phone:818-557-3782
Practice Address - Fax:818-557-4001
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46394183500000X, 1835P0018X
AL12528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist